Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.94 / $2,747.00 / $7,920.26	Facility		$240.94	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.52 / $130.57 / $355.31	Professional		$84.52	$130.57	$355.31
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $167.01 / $167.01 / $167.01	Professional	52	$167.01	$167.01	$167.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Facility		$78.00	$78.00	$78.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.01 / $222.71 / $354.96	Professional		$129.01	$222.71	$354.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $272.27 / $320.79	Professional		$218.78	$272.27	$320.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.41 / $207.38 / $280.54	Facility		$141.41	$207.38	$280.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.26 / $213.49 / $349.35	Professional		$172.26	$213.49	$349.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.55 / $219.53 / $268.67	Facility		$144.55	$219.53	$268.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.53 / $207.38 / $333.80	Facility		$138.53	$207.38	$333.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $193.92 / $250.91 / $339.64	Professional		$193.92	$250.91	$339.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $737.82 / $929.08 / $1,109.00	Facility		$737.82	$929.08	$1,109.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.80 / $273.14 / $366.32	Professional		$204.80	$273.14	$366.32
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.56 / $239.43 / $397.14	Professional		$166.56	$239.43	$397.14